Soc Wrk 721 EXEMPTION REQUEST
|Soc Wrk 721 EXEMPTION REQUEST |
|If you are interested in applying for an exemption for Field Course 721, the following form must be filled out and returned to the Graduate Field Office, Enderis 1075, |
|prior to the semester in which you enroll as a full-time student and/or are assigned to a field placement. |
| |
|After the Director of the Field Education Program has reviewed the Field Exemption Request, a copy will be returned to you for your records indicating the status of your |
|request. |
|INDIVIDUAL FIELD EXEMPTION REQUEST: Social Work 721 |
|Date of Application: |
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|Criteria: The criteria for an exemption of Social Work Field Course 721 are based on the following guidelines. Please mark one of the 4 categories to indicate which |
|criteria applies to your exemption request. |
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|a) Graduation from an accredited BSW program within the past five years. Eligibility for exemption from Social Work 721, Field Education I, applies only when a minimum |
|of a “B” average has been achieved in field courses. |
|Date of Graduation: Name of School: |
| |
|b) Within the past five years, satisfactory full-time employment in a social work position (following completion of the bachelor’s degree) for a minimum of two years with|
|direct supervision provided by an MSW. Please provide the following with the Exemption Request form: |
| |
|1) A job description of the social work position(s) relevant to this exemption request |
|2) A letter of reference from your MSW social work supervisor(s) which must include a statement |
|indicating the type of social service activities in which you were involved, an evaluation statement |
|of your social work performance, the date of your employment and the specific time period during which you |
|received MSW supervision. |
| |
|c) Full-time employment as a social worker following completion of a BSW for no less than two years within a five-year period prior to the date you begin the MSW program.|
|You must have a BSW from an accredited program. (There are no time requirements as to when the BSW degree was conferred). Please provide the following with the Exemption|
|Request form: |
| |
|1) A job description of the social work position(s) relevant to this exemption request |
|2) A letter of reference from your immediate supervisor(s) which must include a performance evaluation or |
|statement of your performance within the agency and the dates of your employment. |
| |
|d) Completed a supervised field practicum in a human services agency providing direct client services for a minimum of 260 hours. Field Instructor must have a degree in |
|social work or a related field with a minimum of two years of professional experience. Please provide the following with the Exemption Request form: |
|Field practicum completed evaluation signed by the agency Field Instructor with verification of the hours completed and the Field Instructor credentials. |
|Field course syllabus |
Name: Student I.D.# Telephone:
Address: Street:
City: State: Zip:
UWM Email Address:
Recommendation of Director of Field Program: Approved Denied
_____________________________________ ____________
Signature: Director of Field Programs Date
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